MARK J. BRENNER MD – NPI #1902873409
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

MARK BRENNER is a radiologist located in WORCESTER, MA. NPPES has assigned the NPI number 1902873409 to MARK BRENNER on March 02, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on May 26, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK BRENNER below.

NPI Profile for
MARK J. BRENNER

NPI Number
1902873409
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK J. BRENNER
Credentials
MD
Primary location
1 EATON PL STE 100
WORCESTER, MA 01608
Phone: (508) 363-6881 Fax: (508) 363-7170
2 Other location(s):
275 Nichols Rd
Fitchburg, MA 01420-1919
Phone: (978) 343-5151
Fax: (774) 442-5006
20 Washington Sq
WORCESTER, MA 01604-4013
Phone: (508) 363-6218
Mailing address
PO BOX 415348
BOSTON, MA 02241-5348
Phone: (800) 225-8885 Fax: (508) 334-1977
Sole Proprietor
No
Updated
Certification Date
May 26, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARK BRENNER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherRAILROAD MEDICAREMD920007556
otherRR MEDICAREMD920004528
medicaidMA110085074A
medicaidMD168741700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
MA 54099
2085R0001X
- Radiology / Radiation Oncology
MD D0041640

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
TUFTS UNIVERSITY SCHOOL OF MEDICINE - Graduated 1981
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARK BRENNER is affiliated with the following medical group(s):
  • HOSPITAL
    • ST VINCENT HOSPITAL
      123 SUMMER STREET
      WORCESTER, MA 01608

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.